ICD-10-PCS 2027 procedure code
0RUB47ZSupplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Supplement T-lum Disc with Autol Sub, Perc Endo Approach
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RUB47Z
0RUB47Z is the ICD-10-PCS code for a supplement procedure on the thoracolumbar vertebral disc using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.
In plain terms, this corresponds to repair of the anulus fibrosus with graft or prosthesis, the ICD-9-CM procedure title it maps to (80.53).
For a different body part, codes include 0RU047Z (occipital-cervical joint), 0RU147Z (cervical vertebral joint), 0RU347Z (cervical vertebral disc), 0RU447Z (cervicothoracic vertebral joint), 0RU547Z (cervicothoracic vertebral disc), 0RU647Z (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RUB07Z (open) and 0RUB37Z (percutaneous).
With a different device, use 0RUB4JZ (synthetic substitute) and 0RUB4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.
It has been valid since ICD-10-PCS took effect on October 1, 2015.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- RUpper Joints
- 3. Operation
- USupplement
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part
Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
- 4. Body Part
- BThoracolumbar Vertebral Disc
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RU047ZOccipital-cervical Joint
- 0RU147ZCervical Vertebral Joint
- 0RU347ZCervical Vertebral Disc
- 0RU447ZCervicothoracic Vertebral Joint
- 0RU547ZCervicothoracic Vertebral Disc
- 0RU647ZThoracic Vertebral Joint
- 0RU947ZThoracic Vertebral Disc
- 0RUA47ZThoracolumbar Vertebral Joint
- 0RUC47ZTemporomandibular Joint, Right
- 0RUD47ZTemporomandibular Joint, Left
- 0RUE47ZSternoclavicular Joint, Right
- 0RUF47ZSternoclavicular Joint, Left
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 80.53Repair of the anulus fibrosus with graft or prosthesisapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RUB47Z
Is 0RUB47Z a valid ICD-10-PCS code for 2027?
- Yes. 0RUB47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RUB47Z an O.R. procedure?
- Yes. 0RUB47Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RUB47Z group to?
- Depending on the principal diagnosis, 0RUB47Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.
What is the ICD-9 procedure code for 0RUB47Z?
- The CMS GEMs map 0RUB47Z to ICD-9-CM 80.53 (Repair of the anulus fibrosus with graft or prosthesis).